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龈下生物膜中牙周潜在致病菌的水平

Levels of Candidate Periodontal Pathogens in Subgingival Biofilm.

作者信息

Oliveira R R D S, Fermiano D, Feres M, Figueiredo L C, Teles F R F, Soares G M S, Faveri M

机构信息

Department of Periodontology, Dental Research Division, Guarulhos University, Guarulhos, Brazil.

Department of Periodontology, University of North Carolina at Chapel Hill, School of Dentistry, Chapel Hill, NC, USA.

出版信息

J Dent Res. 2016 Jun;95(6):711-8. doi: 10.1177/0022034516634619. Epub 2016 Mar 2.

Abstract

In recent years, several new periodontal taxa have been associated with the etiology of periodontitis. A recent systematic review provides further support for the pathogenic role of 17 species/phylotypes. Thus, the aim of this study was to assess the prevalence and levels of these species in subjects with generalized chronic periodontitis (GChP; n = 30), generalized aggressive periodontitis (GAgP; n = 30), and periodontal health (PH; n = 30). All subjects underwent clinical and microbiological assessment. Nine subgingival plaque samples were collected from each subject and analyzed for their content of 20 bacterial species/phylotypes through the RNA-oligonucleotide quantification technique. Subjects from the GChP and GAgP groups presented the highest mean values for all clinical parameters in comparison with the PH group (P < 0.05). Subjects with GChP and GAgP showed significantly higher mean levels of Bacteroidetes sp. human oral taxon (HOT) 274, Fretibacterium sp. HOT 360, and TM7 sp. HOT 356 phylotypes, as well as higher mean levels of Filifactor alocis, Fretibacterium fastidiosum, Porphyromonas gingivalis, Tannerella forsythia, and Selenomonas sputigena species than PH subjects (P < 0.05). GAgP subjects presented higher mean levels of TM7 sp. HOT 356 and F. alocis than GChP subjects (P < 0.05). A significantly higher mean prevalence of Bacteroidales sp. HOT 274, Desulfobulbus sp. HOT 041, Fretibacterium sp. HOT 360, and Fretibacterium sp. HOT 362 was found in subjects with GChP and GAgP than in PH subjects. Mean levels of P. gingivalis (r = 0.68), T. forsythia (r = 0.62), F. alocis (r = 0.51, P = 0.001), and Fretibacterium sp. HOT 360 (r = 0.41) were correlated with pocket depth (P < 0.001). In conclusion, Bacteroidales sp. HOT 274, Desulfobulbus sp. HOT 041, Fretibacterium sp. HOT 360, Fretibacterium sp. HOT 362, and TM7 sp. HOT 356 phylotypes, in addition to F. alocis, F. fastidiosum, and S. sputigena, seem to be associated with periodontitis, and their role in periodontal pathogenesis should be further investigated.

摘要

近年来,几种新的牙周分类群与牙周炎的病因相关。最近的一项系统评价为17种物种/系统型的致病作用提供了进一步支持。因此,本研究的目的是评估这些物种在广泛性慢性牙周炎(GChP;n = 30)、广泛性侵袭性牙周炎(GAgP;n = 30)和牙周健康(PH;n = 30)受试者中的患病率和水平。所有受试者均接受了临床和微生物学评估。从每个受试者收集9份龈下菌斑样本,并通过RNA寡核苷酸定量技术分析其20种细菌物种/系统型的含量。与PH组相比,GChP组和GAgP组的所有临床参数平均值最高(P < 0.05)。患有GChP和GAgP的受试者中拟杆菌属人类口腔分类群(HOT)274、纤细杆菌属HOT 360和TM7属HOT 356系统型的平均水平显著更高,以及具核梭杆菌、苛求纤细杆菌、牙龈卟啉单胞菌、福赛坦氏菌和口栖普雷沃菌的平均水平也高于PH受试者(P < 0.05)。GAgP受试者中TM7属HOT 356和具核梭杆菌的平均水平高于GChP受试者(P < 0.05)。在患有GChP和GAgP的受试者中,拟杆菌目HOT 274、脱硫球茎菌属HOT 041、纤细杆菌属HOT 360和纤细杆菌属HOT 362的平均患病率显著高于PH受试者。牙龈卟啉单胞菌(r = 0.68)、福赛坦氏菌(r = 0.62)、具核梭杆菌(r = 0.51,P = 0.001)和纤细杆菌属HOT 360(r = 0.41)的平均水平与牙周袋深度相关(P < 0.001)。总之,拟杆菌目HOT 274、脱硫球茎菌属HOT 041、纤细杆菌属HOT 360、纤细杆菌属HOT 362和TM7属HOT 356系统型,以及具核梭杆菌、苛求纤细杆菌和口栖普雷沃菌似乎与牙周炎相关,它们在牙周发病机制中的作用应进一步研究。

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